Steven H. Zarit, Ph.D.

1972, University of Chicago

Professor of Human Development

HDFS Department Head

Adjunct Professor, Gerontology Institute, University College of Health Science, Jönköping, Sweden

211H Henderson Bldg. South
(814) 865-5260
z67@psu.edu

Research Interests

Family caregiving for the elderly; health and functioning of the oldest old; development of prevention and treatment programs for mental health problems in later life; cross-national comparisons of old age care systems.

Current Research Projects

Daily Stress and Health (DaSH). Investigators: Steven H. Zarit, Principal Investigator. David Almeida, Elia Femia, Laura Klein, Peter Molenaar, Michael Rovine.

Caring for a person with dementia (PWD) has been found to be associated with a variety of negative changes in health and well-being. Much of this research, however, has been correlational, with data gathered at one or two points in time, which can blur the sequence of events and thus the underlying mechanism by which stressors may affect health. New design approaches that use intensive repeated measurement of individuals offer the potential for clarifying the sequence of events from stressors to health markers and well-being and to establish more precisely the short-term health effects of concrete daily experiences The DaSH study is collecting daily diary data over a 9-day period on daily stressors, daily mood and health symptoms and daily measures of three critical biomarkers to demonstrate the links between stress and health, as well as possible mediators of that relationship. In contrast to prior daily diary studies, where the range of exposure to stressors is limited, we take advantage of a naturally-occurring experiment by comparing the stress responses of caregivers using Adult Day Services (ADS) for their relative on days they use ADS and days they do not. Prior work by our group found that caregivers experienced a 66 percent reduction in exposure to care-related stressors on days they used ADS compared to non-ADS days. Comparable to the classic A-B-A research design, this approach enables us to to examine immediate as well as delayed effects of stressors under high and low stress conditions.

We are currently recruiting a sample of 180 family caregivers of a PWD who is currently using ADS. Participants are assessed over a period of 9 consecutive days, including when their relative uses ADS (low stress days) and when their relative does not (high stress days). Daily measures include care-related and non-care stressors, subjective distress and health symptoms. Biomarkers are obtained from saliva samples provided at scheduled times during each day. Assays will be obtained for 3 key biomarkers with implications for health: cortisol, alpha-amylase and dehydroepiandrosterone-sulfate (DHEA-S). The results of the study will clarify the relation among daily stressors, well-being and biomarkers of health, and suggest the pathways by which caregiving stressors might affect health. The findings should also yield practical information on how caregiver services could reduce health risks. This research is funded by the National Institute on Aging (1 RO1 AG031758)

Adaptive Interventions for At-Risk Caregivers. Investigators: Steven H. Zarit, Principal Investigator. Elia Femia, Co-PI. Carol Whitlatch, (Margaret Blenkner Research Institute at Benjamin Rose), Co-PI.

This study explores the development of a new strategy, adaptive intervention, for family caregivers. Adaptive interventions use a structured assessment to identify the specific risk factors for each caregiver and apply only those interventions specific to the risk factors found. The project was be conducted in two phases. In the first phase, we developed and evaluated a theory-driven assessment tool that will identify risk factors and their cut-offs for assigning people to specific interventions. The second phase was be a small trial in which the assessment developed in Phase 1 was used to assign people to treatment modules. We expect that by giving family caregivers intervention modules specific to their risk profile will improve outcomes. The study has been completed but data analysis is continuing. This research was funded by the National Institute of Mental Health (1 R34 MH073559).

Independence and Disabilitiy in the Oldest Old. Investigators: Steve Zarit, Denis Gerstorf and Nilam Ram, Penn State University; Elizabeth Fauth (PI), Utah State University; Bo Malmberg, Gerdt Sundström, Gerontology Institute, Jönköping University, Jönköping, Sweden.

This research is part of an international collaboration with faculty at the Gerontology Institute of Jönköping University. Studies explore the transition from independence to dependence in population-based and longitudinal samples of people in their 80s and early 90s. A theory based model of the disability process is used to guide the analysis of changes over time. We are also examining the responses of family and formal services to increased levels of disabilities. The goal of these projects are to identify factors that may delay the onset of disability in very late life, learn more about the care received by the very old, and look at social policies which may promote independence and quality of life in the face of dependence.

Independence and Disability in a Developing Country. Investigators: Steve Zarit, Penn State University; Ha Nguyen, Wake Forest University; Nguyen Ngoc and Hoang Ngoc Chuong, National Technical College of Medicine No. 2, Da Nang, Vietnam, and Alan Zonderman, National Institute on Aging.

This project is a collaborative effort of researchers in the United States, Sweden and Vietnam. Our goal is to identify functional competency and rates of dependency in a representative sample of people aged 55 and older living in Da Nang, Vietnam, and its surrounding rural districts. The study provides systematic information about the need for assistance of older adults in Vietnam and how well traditional family supports are able to manage in caring for an expanding number of elders. We also explored the medical, social, environmental and psychological processes that contribute to disability. Another outcome is providing information on the needs of elders in the Da Nang area that can be used for development of services and other initiatives. This research was funded through a contract from the National Institute on Aging Intramural Branch. Data collection is complete and analysis of the data is continuing.

Family Exchanges Study. Investigators: Karen Fingerman, Principal Investigator (Purdue University); Steve Zarit, Michael Rovine, David Eggebeen (Penn State University).

There are few legal or social sanctions in the U.S. requiring adults to provide assistance for their parents or grown offspring, but middle-aged adults frequently exchange assistance with generations above and below them. A burgeoning literature shows that most adults also experience frustration and tensions with parents and grown offspring. This study examines: Aim 1) patterns of exchanges with parents vs. offspring (what is exchanged and who does the exchanging), Aim 2) beliefs about these exchanges, and Aim 3) feelings about these exchanges and relationships. We also consider parents’ and offspring’s reports of the exchanges. The study fills a large gap in the literature by examining psychological processes (e.g., beliefs, feelings) associated with exchanges and considering multiple family members’ perspectives on these exchanges. Participants include 633 adults aged 40 to 60 who have at least one living parent and one child over the age of 18. We interviewed the target person, his/her spouse, his/her parents, and up to three children. We are examining multiple family members’ (middle-aged adult, offspring, parent) reports of exchanges, as well as agreements and disagreements in family members’ views of supports and feelings. Unique contributions of the study include examination of: different family members’ reports of support within the same family (Aim 1); beliefs about motivations underlying exchanges with parents and offspring (Aim 2); and positive and negative feelings about everyday exchanges and relationships (Aim 3). Findings from this study will have implications for understanding how provision and receipt of support are associated with variability in health at midlife. Findings also will be of use to policy makers concerning expectations and feelings adults hold regarding familial versus public obligations. This research is funded by the National Institute on Aging (R01 AG027769).

Teaching Interests

Adult development and aging; mental health and aging; cross-national comparisons of old age care; intervention research.

Outreach and Media Interests

(general public, practitioners, researchers): Alzheimer's disease; family caregiving; the oldest old; aging and mental health.

Education

Ph.D., 1972, Human Development, University of Chicago
Postdoctoral Training in Clinical Psychology, 1972-1973, Department of Psychology, University of Chicago

Professional Experience

2003-Present, Professor and Head, Human Development and Family Studies.
1986-2003, Professor of Human Development and Assistant Director, The Gerontology Center, The Pennsylvania State University.
1993-Present, Adjunct Professor, Institute of Gerontology, Jönköping University, Jönköping, Sweden.
1990-1991, 1995-1996, 2001-2002, Acting Director, The Gerontology Center, The Pennsylvania State University
1991-1992, Acting Head, Department of Human Development and Family Studies, The Pennsylvania State University
1989-1990, Professor-in-Charge, Graduate Program, Department of Human Development and Family Studies, The Pennsylvania State University.
1988-1989, Acting Director, The Gerontology Center, The Pennsylvania State University
1986-1987, Professor-in-Charge, Undergraduate Program, Department of Human Development and Family Studies, The Pennsylvania State University.
1984-1985, Acting Head, Leonard Davis School of Gerontology, University of Southern California.
1982-1986, Associate Professor of Gerontology and Psychology, University of Southern California; Director, Andrus Older Adult Center, Andrus Gerontology Center, and Co-Director, Human Relations Center, University of Southern California; Research Associate, Gerontology Research Institute, Andrus Gerontology Center, University of Southern California.
1975-1982, Assistant Professor of Gerontology and Psychology, University of Southern California.
1973-1975, Teaching Associate, Department of Psychology, City College of C.U.N.Y., New York. Research Associate, Jewish Home and Hospital for the Aged, New York.
1972-1973, Postdoctoral trainee, In-patient Psychiatry and Gerontology Clinic, University of Chicago.
1971-1972, Psychology intern, In-patient Psychiatry and Gerontology Clinic, University of Chicago. 1971-1973 Associate Project Director, Aging Project, Department of Psychiatry, University of Chicago.

Honors

1993: Apple of Knowledge Award, University College of Health-Sciences, Jönköping, Sweden
1995: Evan G. & Helen G. Pattishall Outstanding Research Award, College of Health and Human Development, The Pennsylvania State University
1995: Scientific Research Award, Jönköping (Sweden) County Council, (with Boo Johansson)
1998 Distinguished Mentorship Award, Behavioral and Social Sciences Section, The Gerontological Society of America
2001 Award for Academic Integration, Penn State University
2001 Senator John Heinz Memorial Award, National Council on Aging
2002 M. Powell Lawton Distinguished Contributions Award in Applied Gerontology, Division 20: Adult Development and Aging, of the American Psychological Association
2004 M. Powell Lawton Award, Gerontological Society of America.
2006 M. Powell Lawton Award, Section II of Division 12, American Psychological Association
2008: Pauline Schmitt Russell Distinguished Career Award, College of Health and Human Development
2009: Distinguished Career Award, Behavioral and Social Sciences Section, Gerontological Society of America

Public Service

2009: American Editor, Aging and Mental Health
2009: Chair, Publications Task Force, Gerontological Society of America
2005-2008, Chair, Task Force on Publications, Gerontological Society of America
2000-2001, Chair, Behavioral and Social Sciences Section, Gerontological Society of America
2002-2004, Chair, Publications Committee, Gerontological Society of America
1998-2001, Member, Committee on Aging, American Psychological Association (Chair from 1998-2000)
2000-2005, Member, Board of Directors, Alzheimer's Association
1987-2000, Co-Facilitator: Alzheimer's Support Group of Centre County, Pennsylvania
Member, Research Advisory Board of the Lighthouse, Inc.of New York
Associate Editor, Aging and Mental Health
Editorial Boards: Psychology and Aging, Aging and Health, American Journalof Alzheimer's Disease

Publications (1998 to present)

Qualls, S. H., & Zarit, S. H. (Eds). (2009) Aging Families and Caregiving. New York: Wiley.
Zarit, S. H. (2009). Empirically-supported treatment for family caregivers. In S. H. Qualls and S. H. Zarit (Eds.), Aging Families and Caregiving (pp. 131-154). New York: Wiley.
Zarit, S. H. (2009). A good old age: Theories of mental health and aging. In V. Bengtson, M. Silverstein, N. Putney & D. Gans (Eds.). Handbook of Theories of Aging (pp. 675-692). New York: Springer
Femia, E.E., Zarit, S. H., Blair, C., Jarrott, S. E., & Bruno, K. (2008). Impact of intergenerational programming on child outcomes. Early Childhood Research Quarterly.
Préville, M., Zarit, S. H., Susman, E. J., Boulenger, J. P., & Lehoux, J. G. (2008). Response variability of salivary cortisol among older adults under psychological stress. Aging and Mental Health, 12, 249-257
Savla, J., Almeida, D., Davey, A., & Zarit, S. H., (2008). Routine assistance to parents: Effects on daily mood and other stressors. Journal of Gerontology: Social Sciences, 63B, 154-161.
Zarit, S. H. (2008). Diagnosis and management of caregiver burden in dementia. In C. Duyckaerts & I. Litvan (Eds.), Handbook of Clinical Neurology, V89 (3rd series) Dementias. (pp. 905-910). Elsevier.
Zarit, S. H. (2008). New perspectives on subjective memory complaints. Aging and Mental Health, 12, 165-166.
Zarit, S. H., & Edwards, A. B. (2008). Family caregiving: Research and clinical intervention. In B. Woods (Ed.), Handbook of clinical psychology and ageing, 2nd ed.(pp. 255-288). Sussex, UK: Wiley.
Zarit, S. H. & Femia, E. E. (2008). A future for family care and dementia intervention research? Challenges and strategies. Aging and Mental Health, 12(1), 5-13.
Davey, A., Savla, J., Sundström, G., Zarit, S. H., & Malmberg, B. (2007). How equitable is Sweden’s changing care mix? Linking individual and regional characteristics over time. Ageing and Society, 27, 511-532.
Ducharme, F., Levesque, L., Lachance, L., Gangbe, M., Zarit, S. H., Vezina, J. & Caron, C. D. (2007). Older husbands as caregivers: Factors associated with health and the intention to end home caregiving. Research on Aging, 29, 3-31.
Ducharme, F., Lévesque, L., Zarit, S. H., & Lachance, L. (2007). Changes in health outcomes among older husband caregivers : A one-year longitudinal study. International Journal of Aging and Human Development, 65, 73-96.
Fauth, E. B., Zarit, S. H., Malmberg, B., & Johansson, B. (2007). Physical, cognitive, and psychosocial variables from the disablement process model predict patterns of independence and the transition into disability for the oldest old. The Gerontologist, 47, 613-624.
Femia, E. E., Zarit, S. H., Stephens, M. A. P., & Greene, R. (2007). Impact of adult day services on behavioral and psychological symptoms of dementia. The Gerontologist, 47, 775-788.
Gaugler, J. E., Pot, A. M., & Zarit, S. H. (2007). Long-term adaptation to institutionalization in dementia caregivers. The Gerontologist, 47, 730-740.
Lopez, J., Crespo, M., & Zarit, S. H. (2007). Assessment of the efficacy of a stress management program for informal caregivers of dependent older person. The Gerontologist, 47, 205-214.
Son, J., Erno, A., Shea, D. G., Femia, E. E., Zarit, S. H., & Stephens, M. A. P. (2007). The caregiver stress process and health outcomes. Journal of Aging and health, 19, 871-887.
Zarit, S. H., Bottigi, K., & Gaugler, J. E. (2007). Stress and caregivers. In G. Fink and associates (Eds.), Encyclopedia of Stress, 2nd ed. (pp. 416-419). San Diego, CA: Academic Press.
Zarit, S. H., & Braungart, E. R. (2007). Elders as care receivers: Autonomy in the context of frailty. In H.-W. Wahl, C. Tesch-Römer, & A. Hoff (Eds.), Emergence of New person-Environment Dynamics in Old Age. A Multidisciplinary Exploration, (pp. 85-104). Amityville, NY: Baywood.
Zarit, S. H., & Robertson, S. R. (2007). Self-efficacy. In K. S. Markides, D. Blazer, L. Branch & S. Studenski (Eds.), Encyclopedia of Health and Aging (pp. 510-513). Thousand Oaks, CA: Sage.
Zarit, S. H. & Zarit, J. M. (2007). Mental disorders in older adults, 2nd ed. New York: Guilford.

Arai, A., Arai, Y., & Zarit, S. (2006). Intervention for family caregivers of dementia patients: An effective strategy for reducing burden. Psychiatry, 9(1), 48-56.
Ducharme, F., Lévesque, L., Lachance, L., Zarit, S., Vézina, J., Gangbè, M., & Caron, C. D. (2006). Older husbands as caregivers of their wives: A descriptive study of the context and relational aspects of care. International Journal of Nursing Studies, 43, 567-579.
Erlangsen, A., Zarit, S. H., Tu, X., & Conwell, Y. (2006). Suicide among older psychiatric inpatients: An evidence-based study of a high risk group. American Journal of Geriatric Psychiatry, 14, 734-741.
Fauth, E. R., Zarit, S. H., Femia, E. E., Hofer, S. M., & Stephens, M. A. P. (2006). Behavioral and psychological symptoms of dementia and caregivers’ stress appraisals: Intraindividual stability and change over short term observations. Aging and Mental Health, 10, 563-573.
Kumamoto, K., Arai, Y., & Zarit, S. H. (2006). Use of home care services effectively reduces feelings of burden among family caregivers of disabled elderly in Japan: Preliminary results. International Journal of Geriatric Psychiatry, 21, 163-170.
Schreiner, A. S., Morimoto, T., Kakuma, T., Arai, Y., & Zarit, S. H. (2006). Assessing family caregivers' mental health using a statistically derived cutoff score for the Zarit Burden Interview. Aging and Mental Health, 10, 107-111.
Whitlatch, C. J., Judge, K., Zarit, S. H., & Femia, E. E. (2006). A dyadic intervention for family caregivers and care receivers in early stage dementia. Gerontologist, 46, 688-694.
Zarit, S. H. (2006). The history of dementia in caregiving. In S. M. LoboPrabhu, J. W. Lomax, & V. Molinari (Eds.), Supporting the caregiver in dementia: A guide for health care professionals (pp. 3-22): Baltimore: Johns Hopkins University Press.
Zarit, S. H., & Gaugler, J. E. (2006). Care by families for late stage dementia. In A. Burns & B. Winblad (Eds.), Severe Dementia, (pp. 185-192). London: John Wiley & Sons.
Zarit, S. H., & Robertson, S. M. (2006). Positive dimensions of mental health. Aging and Mental Health, 10, 437-438.
Zarit, S. H., & Zarit, J. M. (Eds). (2006). Mental disorders in older adults (2nd ed.). New York: Guilford.
Anderson, K.A., Jao, J.C., Pearlin, L.I., Zarit, S.H., & Gaugler, J.E. (2005). Social class and the subjective adaptation of caregivers to institutionalization. Journal of Social Work in Long-Term Care, 3(3/4), 47-69.
Arai, Y., Kumamoto, K., Zarit, S. H., Dennoh, H., & Kitamoto, M. (2005). Angst in Shangri-La: Japanese fear of growing old. Journal of the American Geriatrics Society, 53, 1641.
Crespo, M., Lopez, J., & Zarit, S. H. (2005). Emotional well-being in primary caregivers: A comparative study of caregivers of demented and nondemented older persons. International Journal of Geriatric Psychiatry, 20, 591-592.
Davey, A., Femia, E. E., Zarit, S. H., Shea, D. G., Sundström, G., Berg, S., Smyer, A., & Savla, J. (2005). Life on the edge: Patterns of formal and informal help to older adults in the United States and Sweden. Journal of Gerontology: Social Sciences, 60B, S281-S288.
Jarrott, S. E., Zarit, S. H., Stephens, M. A. P., Townsend, A., & Greene, R. (2005). Instrumental help and caregivers' distress: Effects of change in informal and formal help. American Journal of Alzheimer's Disease and Other Dementias, 20, 181-190.
Pot. A. M., Deeg, D. J. H., Twisk, J. W. R., Beekman, A-J,T.. F., & Zarit, S. H. (2005). Transitions in caregivers' use of paid home help. Psychology and Aging, 20, 211-219.
Woodhead, E. L., Zarit, S. H., Braungart E. R., Rovine, M. R., & Femia, E. E. (2005). Behavioral and psychological symptoms of dementia: The effects of physical activity at adult day service centers. American Journal of Alzheimer's Disease and Other Dementias, 20, 171-179.
Zarit, S. H., (2005) CBT and aging, dementia. In A. Freeman, S. H. Felgoise, A. M. Nezu, C.M. Nezu & M. A. Reinecke (Eds.). Encyclopedia of Cognitive Behavior Therapy. New York: Springer.
Zarit, S. H., & Pearlin, L. I. (Eds). (2005). Health inequalities across the life course. Journal of Gerontology, Social Sciences 60B (special issue).
Zarit, S. H., Femia, E. E., Watson, J., Rice-Oeschger, L., & Kakos, B. (2004). Memory Club: A group intervention for people with early-stage dementia and their care partners. Gerontologist, 44 , 262-269.
Baek, J., Son, J., Sundstrom, G., & Zarit, S.H. (2004). Old Age Care in Sweden : Possible Implications for Korean Aging Services. Journal of Korean Gerontological Society, 24 (2), 1-16.
Gaugler, J. E., Anderson , K. A., Zarit, S. H., & Pearlin, L. I. (2004). Family involvement in the nursing home: Effects on stress and well-being. Aging and Mental Health, 8 , 65-75.
Zarit, S. H. (2004). Family care and burden at the end of life. Canadian Medical Association Journal, 170 (12), 1811-1812.
Hong, T. B., Zarit, S. H., & Malmberg, B. (2004). The role of health congruence in functional status and depression. Journal of Gerontology: Psychological Sciences, 59B (4), P151-P157.
Zarit, S. H., Griffiths, P. C., & Berg, S. (2004). Pain perceptions of the oldest old: A longitudinal study. Gerontologist, 44, 459-468.
Mittelman, M. S., Roth, D. L., Haley, W. E., & Zarit, S. H. (2004). Effects of a caregiver intervention on negative caregiver appraisals of behavior problems in patients with Alzheimer's Disease: Results of a randomized trial. Journal of Gerontology: Psychological Sciences, 59B, P27-P34.
Arai, Y., Zarit, S. H., Kumamoto , K., & Takeda, A. (2003). Are there inequities in the assessment of dementia under Japan 's LTC insurance system . International Journal of Geriatric Psychiatry, 18, 346-352.
Gaugler, J. E., Zarit, S. H., & Pearlin, L. I. (2003). The onset of dementia caregiver and its longitudinal implications . Psychology and Aging, 18 , 171-180.
Hong, T. B., Zarit, S. H., & Johansson, B. (2003). Mild cognitive impairment in the oldest old: A comparison of two approaches. Aging and Mental Health, 7, 271-276
Gaugler, J. E., Jarrott, S. E., Zarit, S. H., Stephens, M. A. P., Townsend, A. & Greene, R. (2003). Adult day service use and reductions in caregiving hours: Effects on stress and psychological well-being for dementia caregivers. International Journal of Geriatric Psychiatry, 18, 55-62.
Gaugler, J. E., Zarit, S. H., & Greene, R. (2003). Evaluating community-based care for dementia caregivers: The cost-effectiveness of adult day services. Journal of Applied Gerontology, 22 , 118-133.
Gaugler, J. E., Jarrott, S. E., Zarit, S. H., Stephens, M. A. P., Townsend, A. & Greene, R. (2003). Respite for dementia caregivers: The effects of adult day service use on caregiving hours and care demands. International Psychogeriatrics, 15, 37-58.
Malmberg, B., Ernsth, M., Larsson, B., & Zarit, S. H. (2003). Angels of the night: Evening and night patrols for home bound elders in Sweden . Gerontologist, 43, 761-765.
Shea, D. G., Davey, A., Femia, E. E., Zarit, S. H., Sundstrom, G., Berg, S. & Smyer, M. A. (2003). Exploring assistance in Sweden and the United States . Gerontologist, 43 ,712-721.
Zarit, S. H., Femia, E. E., & Stephens, M. A. P. (2003). The validities of research findings: The case of interventions with caregivers. Alzheimer's Care Quarterly, 4, 216-228.
Lyons, K. S., Zarit, S. H., Sayer, A. G., & Whitlatch, C. J. (2002). Caregiving as a dyadic process: Perspectives from caregiver and receiver. Journal of Gerontology: Psychological Science 57B, P195-P204.

Arai, Y., Zarit, S. H., Sugiura, M., & Washio, M. (2002). Patterns of outcome of caregiving for the impaired elderly: A longitudinal study in rural Japan , Aging and Mental Health, 6 , 39-46.
Edwards, A. B., Zarit, S. H., Stephens, M. A. P., & Townsend, A. (2002). Employed family caregivers of cognitively impaired elderly: An examination of role strain and depressive symptoms. Aging and Mental Health, 6, 55-61.
Llácer, A., Zunzunegui, M. V., Gutierrez-Cuadra, P., Béland, F., & Zarit, S. H. (2002). Correlates of wellbeing of spousal and children carers of disabled people over 65 in Spain , European Journal of Public Health, 12, 1-7.
Brodaty, H., Green, A., Banerjee, S., Mittelman, M., Schulz, R., Whitehouse, P., Harvey, R., Powell, M., Prince, M., Rios, D., & Zarit, S. (2002). Towards harmonisation of caregiver outcome measures. Brain Aging, 2, 3-12.
Zarit, S. H. (2002). Caregiver's burden. Family and Professional Cares: Findings Lead to Action. Serdi Edition, 20-24.
Zarit, S. H., & Leitsch, S. A. (2002). Applications of personal control. In S. H. Zarit, L. I. Pearlin, & K. W. Schaie (Eds)., Personal control in social and life course contexts (pp. 281-300). New York : Springer.
Lyons, K. S., Zarit, S. H., Sayer, A. G., & Whitlatch, C. J. (2002). Caregiving as a dyadic process: Perspectives from caregiver and receiver. Journal of Gerontology: Psychological Science 57B , P195-P204.
Zarit, S. H., & Eggebeen, D. A. (2002). Parent-child relationships in adulthood and old age. In M. H. Bornstein (Ed.). Handbook of parenting , 2 nd ed. (pp. 135-164). Mahwah , NJ : Erlbaum.
Femia, E. E., Zarit, S. H., & Johansson, B. (2001). The disablement process in very late life: A study of the oldest-old in Sweden. Journal of Gerontology: Psychological Science, 56B, {P12-P23).

Gaugler, J. E., & Zarit, S. H. (2001). The effectiveness of adult day services for disabled older people. Journal of Aging and Social Policy, 12, 23-48.
Leitsch, S. A., Zarit, S. H., Jarrott, S. E., Greene, R., & Stephens, M. A. P. (2001) Adult day care: Medical versus social models. Research on Aging 23, 473-498.
Pearlin, L. I., Harrington, C., Lawton, M. P., Montgomery, R., & Zarit, S. H. (2001). An overview of the social and behavioral consequences of Alzheimer's disease. Aging and Mental Health, 5(Suppl), S3-S6.
Zarit, S. H., & Leitsch, S. A. (2001). Developing and evaluating community based intervention programs for Alzheimer's patients and their caregivers. Aging and Mental Health, 5(Suppl), S84-S98.
Zarit, S. H., & Pearlin, L. I. (Eds.). (2001). Special issue on behavioral and social aspects of Alzheimer's Disease. Aging and Mental Health, 5(suppl).
Gaugler, J. E., Edwards, A. B., Femia, E. E., Zarit, S. H., Stephens, M. A. P., Townsend, A., & Greene, R. (2000). Predictors of institutionalization of cognitively impaired elders: Family help and the timing of placement. Journal of Gerontology: Psychological Science, 55B, P247-P255.

Gaugler, J. E., Davey, A., Pearlin, L., & Zarit, S. H., (2000). Modeling caregiver adaptation over time: The longitudinal impact of behavior problems. Psychology and Aging, 15, 437-450.
Gaugler, J. E., Leitsch, S. A., Zarit, S.H., & Pearlin, L.I. (2000). Caregiving involvement after institutionalization: Effects of preplacement stress. Research on Aging. 22, 337-359.
Haynie, D., Zarit, S. H., Berg, B., & Gatz, M. (2000). Depressive symptoms in the oldest old. Journal of Gerontology: Psychological Science, 56B, P111-P118.
Jarrott, S.E., Zarit, S.H., Towsend, A., & Stephens, M. A. P. (2000). The effects of day care on time usage by employed and non-employed caregivers. Journal of Applied Gerontology, 19, 371-388.
Lyons, K. S., Zarit, S. H., & Townsend, A. L. (2000). Families and formal service usage: Stability and change in patterns of interface, Aging and Mental Health, 4, 234-243.
Qualls, S. H., & Zarit, S. H. (2000). Family processes and treatment. Aging and Mental Health, 4, 189-190.
Zarit, S.H. & Haynie, D. A. (2000). Introduction to clinical issues. In S. K. Whitbourne (Ed.) Psychopathology in Later Adulthood (pp. 1-26). New York: Wiley.
Zarit, S. H., & Gaugler, J. E. (2000). Caregivers, stress and. In G. Fink (Ed.), Encyclopedia of stress, Vol. 1 (pp. 404-407). San Diego, CA: Academic Press.
Alspaugh, M. E. L., Stephens, M. A. P., Towsend, A., & Zarit, S. H. (1999). Objective and subjective primary stress as predictors of longitudinal patterns of risk for depression in dementia caregivers. Psychology and Aging, 14, 34-43.
Berg, S., & Zarit, S. H. (Eds.). (1999). The oldest old. Jonkoping, Sweden, Institute of Gerontology.
Davey, A., Femia, E. E., Shea, D. G., Zarit, S. H., Sundstrsm, G., Berg, S., & Smyer, M. A. (1999). How much do families help? A cross national comparison. Journal of Aging and Health, 11, 199-220.
Downs, M., & Zarit, S. H. (Eds.). (1999). What works in dementia care? Research evidence for service planning and policy. International Journal of Geriatric Psychiatry, 14, 83-85.
Jarrott, S. E., Leitsch, S. A., Zarit, S. H., Berg, S., & Johansson, L. (1999). A comparison of adult day care in Sweden and the U.S. Journal of Cross Cultural Gerontology.
Jarrott, S. E., Zarit, S. H., Stephens, M. A. P., Townsend, A., & Greene, R. (1999). Caregiver satisfaction with adult day service programs. American Journal of Alzheimer's Disease, 14, 233-244.
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